EX9-22390-66228
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 445 / OH
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
-
2021-03-20
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-03-21
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Very itchy back last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Muscle twitching, Neck pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Neck pain today not sure if related. Also forgot to mention on day of shot i had 3 occasions where my whole head and neck twitched to the left. Like a tic or something. Never experienced anything like except for from an anti depressant i was prescribed for a short period years ago.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 1MedDRA: Asthenia, Burning sensation, Dizziness, Hyperhidrosis — Feeling: Good · Site: Pain, RednessFree text: Burning sensation at site of injection. Broke out in sweat and felt dizzy/weak while preparing lunchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-12
-
2021-04-17
Dose 2 — Moderna
-
2021-04-17
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-21
- 2021-04-23
- 2021-04-26
- 2021-05-01
- 2021-05-24
- 2021-05-31
-
2021-07-17
Survey response — 3 months, dose 2MedDRA: Hospitalisation, Premature labour, Premature separation of placenta — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · HospitalizationFree text: Hospitalized 8 days due to placenta abruption amd contractions at 30 & 31 weeks.MedDRA releases: 2024-11 · check-in free text available
-
2021-07-17
Report sent to call center — 3 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr1 call case(s)
- 2021-07-20
- 2021-10-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Very itchy back last night
Systemic reaction (other): Neck pain today not sure if related. Also forgot to mention on day of shot i had 3 occasions where my whole head and neck twitched to the left. Like a tic or something. Never experienced anything like except for from an anti depressant i was prescribed for a short period years ago.
Systemic reaction (other): Burning sensation at site of injection. Broke out in sweat and felt dizzy/weak while preparing lunch
Release 9 — 3 months, dose 2
Symptoms: Hospitalized 8 days due to placenta abruption amd contractions at 30 & 31 weeks.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Hospitalisation | · | · | ✓ |
| SD | Premature labour | · | · | ✓ |
| SD | Premature separation of placenta | · | · | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Burning sensation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Muscle twitching | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release